Cholestasis in children with portal vein obstruction

Marion Gauthier-Villars, Stéphanie Franchi, Frédéric Gauthier, Monique Fabre, Danièle Pariente, Olivier Bernard

Résultats de recherche: Contribution à un journalArticleRevue par des pairs

36 Citations (Scopus)

Résumé

We describe cholestasis as a result of bile duct abnormalities in 8 children with portal vein obstruction. In a clinical, biochemical and radiological investigation of 121 children with cavernous transformation of the portal vein seen between 1986 and 2000, 8 presented with jaundice, pruritus, and/or raised serum aminotransferases and/or gamma glutamyl transpeptidase (gamma GT) activities. Each displayed dilation and narrowing of intra- and/or extrahepatic bile ducts. Surgical decompression of the portal system (portal-systemic or Rex anastomosis) resulted in the regression of the signs of cholestasis in all children. We conclude that children with portal vein obstruction may exhibit clinically significant cholestasis as a result of external compression of the bile duct by the cavernoma.

langue originaleAnglais
Pages (de - à)568-573
Nombre de pages6
journalJournal of Pediatrics
Volume146
Numéro de publication4
Les DOIs
étatPublié - 1 janv. 2005
Modification externeOui

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